| NPI | 1023115243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE M DAY Crentialing De PT 317-570-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 1000829A) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-04-27 |